The President PLEASE ATTACH YOUR BIO-DATA

Madras Management Association MMA OFFICE USE ONLY

“MMA House”, 148-K, Old Mahabalipuram Road
Received on :
Thoraipakkam, Chennai - 600 097
Admitted on :
Phone: 2496 2766, Fax: 044-2496 2777
Membership No. :
E-mail: mma@vsnl.com
Website: www.mmachennai.org

Sir,
Associate Membership
Kindly enrol me as an Associate Member of the Madras Management Association. My particulars are as follows:

Name (in capital letters) :

Father’s/Husband’s Name :

Home Address :

Pin code

Date of Birth : Day Month Year Age: Years

Sex : MF E-mail : (Home)

Academic/Professional Qualifications :

Organisation : Name & Address :

Pin code

Phone Off : Res: Fax:

Mobile: E-mail: (Official)

Preferred Mailing Address Home Office

Current Designation :

Date of Appointment :

Experience if any, in Supervisory or Executive cadre as on date (No. of Years) :

Past Experience
From To Designation Organisation and Job Details

Membership of other professional Bodies:

Whether AIMA Member : Yes/No, If Yes, Membership No.

Date: Place: Applicant’s Signature :

Proposed By Seconded By To be filled by applicant

(MMA Member) (MMA Member)
Payment Particulars : Rs. 1000 towards subscription
Member
Service Tax @10.3% : Rs. 103 for the Year.............
No.
Total : Rs. 1103
Name
Cheque / Draft No .................................... Date ....................
Signature
Issuing Bank...........................................................................
Note : 1. Please get the proposer and seconder columns completed by any member of MMA. 2. Please complete the Questionnaire
given overleaf. 3. Please complete all the colums 4. Eligibility: See Overleaf 5. Cheque/DD should be in favour of
‘Madras Management Association’ payable at Chennai.
Blood group (optional):
 Instructions
Tick mark numbered boxes against the alternative to each question of all items facilitating computerised database creation

1. Academic / Professional 4. Nature of business of your 7. My interests are in participating in

qualifications organisation the following forum activities (tick
Graduate 01 Manufacturing 01 your choice)
Post Graduate M.Sc / Marketing / Sales 02 IT 01
M.Com / MA / MBA / DBM 02 Banking Service 03 Manufacturing 02
Engineers BE /B.Tech 03 Public Utility Services 04 Financial Services 03
Post Graduate Engineers Consultancy 05 Health Care 04
ME / M.Tech 04
Defence 06 Marketing & Advertising 05
DCA / MCA 05
Airline/Hotel/Travel 07 Women Managers 06
Ph.D or equivalent 06
Architecture/Construction 08 Young Managers 07
ACS / ICWA other equivalent 07
Computer Hardware & Software 09 HR 08
Medicine 08
Education / R & D 10 Travel & Tourism 09
Others (Specify)..................... 09
Printing / Publishing 11 Infrastructure 10
Telecommunication Services 12 Management Educators Forum 11
Transport/Distribution/Courier 13
2. Professional Skills acquired:
IT / ITES 14
HRD / Personnel 01 Others (Specify)..................... 15 8. From where you received the initial
Marketing / Sales 02 information about MMA
5. Type of assistance/Incentives Membership
Finance 03
given for MMA Membership by
Newspaper 01
Production 04 your Organisation:
Name of the Newspaper
Quality Control 05 Not applicable 01
Corporate Planning 06 Magazine 02
Reimbursement of fee
EDP 07 02 Poster displayed at
Consideration in career and
Purchase 08 03 company Notice Board 03
Professional growth
R&D 09 Superiors/Colleagues/Friends 04
Others (Specify) ..................... 04
Exports 10 Company In-house Journal 05
Projects 11 6. Area of activity where you would Company Circular 06
like to contribute as resource MMA Business Mandate 07
Others (Specify) ..................... 12
person
Students 08
Teaching in Management
AIMA/LMA Members 09
Development Programmes 01
Others (Specify) .......................... 10
3. Type of Organisation: Short training Programmes
design and directions 02
Government 01
Management Writing 03
Public Sector 02
Study Material Preparation 04
Private Sector 03
Consultancy 05
Defence Service 04
Contribution to MMA
Banking & Financial
Business Mandate 06
Institution 05
Project Report Evaluation 07
Small Scale Sector 06
Management Research 08
Multinational 07
Professional Development
Others (Specify) .................... 08
Forum 09

Eligibility : Any person engaged in any industry, business or government enterprise, teaching in an academic
institution or consultancy, who wishes to participate in the activities of specific interest groups of MMA
i.e. professional / business development forums, women managers forum, young managers forum etc. shall
be eligible to become an Associate Member, subject to the approval of the Managing Committee.
They shall be admitted in accordance with Rule 4. They shall have no right of attendance at the general
meeting of the Association nor shall they have voting rights. They shall also not be eligible to be elected to the
Managing Committee. However, they shall be eligible for all other privileges extended to Members as specified
in Rule 6(a) to (c) and Rule 6 (e).